You are not logged in.

Laparoscopic or open appendicectomy for suspected appendicitis in pregnancy and evaluation of foetal outcome in Australia

Winter, Nicole N., Guest, Glenn D., Bozin, Michael, Thomson, Benjamin N., Mann, G. Bruce, Tan, Stephanie B. M., Clark, David A., Daruwalla, Jurstine, Muralidharan, Vijayaragavan, Najan, Neeha, Pitcher, Meron E., Vilhelm, Karina, Cox, Michael R., Lane, Steven E. and Watters, David A. 2016, Laparoscopic or open appendicectomy for suspected appendicitis in pregnancy and evaluation of foetal outcome in Australia, ANZ journal of surgery, doi: 10.1111/ans.13750.

Attached Files
Name Description MIMEType Size Downloads

Title Laparoscopic or open appendicectomy for suspected appendicitis in pregnancy and evaluation of foetal outcome in Australia
Author(s) Winter, Nicole N.
Guest, Glenn D.
Bozin, Michael
Thomson, Benjamin N.
Mann, G. Bruce
Tan, Stephanie B. M.
Clark, David A.
Daruwalla, Jurstine
Muralidharan, Vijayaragavan
Najan, Neeha
Pitcher, Meron E.
Vilhelm, Karina
Cox, Michael R.
Lane, Steven E.
Watters, David A.
Journal name ANZ journal of surgery
Total pages 5
Publisher Wiley
Place of publication Milton, Qld.
Publication date 2016-09-06
ISSN 1445-1433
1445-2197
Keyword(s) appendicitis
laparoscopic appendicectomy
open appendicectomy
pregnancy
Summary BACKGROUND: Recent data suggest that laparoscopic appendicectomy (LA) in pregnancy is associated with higher rates of foetal loss when compared to open appendicectomy (OA). However, the influence of gestational age and maternal age, both recognized risk factors for foetal loss, was not assessed. METHOD: This was a multicentre retrospective review of all pregnant patients who underwent appendicectomy for suspected appendicitis from 2000 to 2012 across seven hospitals in Australia. Perioperative data and foetal outcome were evaluated. RESULTS: Data on 218 patients from the seven hospitals were included in the analysis. A total of 125 underwent LA and 93 OA. There were seven (5.6%) foetal losses in the LA group, six of which occurred in the first trimester, and none in the OA group. After matching using propensity scores, the estimated risk difference was 5.1% (95% confidence interval (CI): 1.4%, 9.8%). First trimester patients were more likely to undergo LA (84%), while those in the third were more likely to undergo OA (85%). Preterm delivery rates (6.8% LA versus 8.6% OA; CI: -12.6%, 5.3%) and hospital length of stay (3.7 days LA versus 4.5 days OA; CI: -1.3, 0.2 days) were similar. CONCLUSION: This is the largest published dataset investigating the outcome after LA versus OA while adjusting for gestational and maternal age. OA appears to be a safer approach for pregnant patients with suspected appendicitis.
Notes In press
Language eng
DOI 10.1111/ans.13750
Field of Research 1103 Clinical Sciences
Socio Economic Objective 920507 Women's Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Royal Australasian College of Surgeons
Persistent URL http://hdl.handle.net/10536/DRO/DU:30087836

Document type: Journal Article
Collection: School of Medicine
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in TR Web of Science
Scopus Citation Count Cited 0 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 4 Abstract Views, 0 File Downloads  -  Detailed Statistics
Created: Thu, 20 Oct 2016, 12:12:28 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.